179434 11/11/2009 \,f CITY OF CARMEL, INDIANA VENDOR: 355216 Page 1 of 1
ONE CIVIC SQUARE THOMAS L GRANTHAM COMPANY INC CHECK AMOUNT: $90.00
CARMEL, INDIANA 46032 14016 BRITTON PARK ROAD
FISHERS IN 46038 CHECK NUMBER: 179434
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 4262 90.00 BUILDING REPAIRS MA
urantham Invoice
THOMAS L. GRANTHAM COMPANY, INC.
14016 Britton Park Road
Fishers, Indiana 46038
317-845-8888
Fax: 317-770-6160 F �ate L__Invoice
1 10/ 23 72� 4262' LBill To Job Name
Carmel Street Department
3400 W. 131 st Street
Westfield IN 46074
P.O. No. Terms Project
Net 15 days 37686
Quantity Description Rate Amount
I J Service Doug 10/14/09 90.00 90.00
Sales Tax 7.00%, 0.00
Thank You! Total $90.00
J
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/23/09 4262 $90.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARR NO.
ALLOWED 20
Thomas L. Grantham Company
IN SUM OF
14016 Britton Park Road
Fi -5hers, IN 46038
$90.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 4262 43- 501.00 $90.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
I t Thursday, November 05, 2009
J d
Street Commissioner
d
Street CTitle,rnissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund